Organization
TERENCE J MCDONNELL MD PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERENCE J MCDONNELL M.D. (PRESIDENT)
(510) 841-1266
Entity
Organization
Contact information
Practice address
2999 REGENT STREET, SUITE 710, BERKELEY, CA 94705-2117
(510) 841-1266
(510) 841-0423
Mailing address
2999 REGENT STREET, SUITE 710, BERKELEY, CA 94705-2117
(510) 841-1266
(510) 841-0423
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
C326600
CA
Other
Enumeration date
08/01/2007
Last updated
10/13/2016
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